MARIE MARGUERITE SAMPLE CNM
NPI 1629185020
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
About Marie Marguerite Sample Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE MARGUERITE SAMPLE CNM (NPI 1629185020) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in South Carolina (30769) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marie Marguerite Sample Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marie Sample's NPI number?
The NPI number for Marie Sample is 1629185020. It was assigned to this individual provider in the NPPES registry on August 23, 2006.
Where is Marie Sample located?
Marie Sample practices at 18 Imperial Pl Unit 2D, Providence, RI 02903. The listed phone number is (401) 727-4800.
What is Marie Sample's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marie Sample enrolled in Medicare?
Yes. Marie Sample is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Marie Sample was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marie Marguerite Sample, CNM · NPI 1629185020
Psychiatric/Mental Health physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1629185020 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 30769 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 IMPERIAL PL UNIT 2D, Providence, RI 02903-4642
- **Phone:** (401) 727-4800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Medicaid 726695410A (GA); Other 582369659 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629185020) · Data from the CMS NPPES public registry.